Provider Demographics
NPI:1871789487
Name:RAHMAN, ASM MUJIBUR (MD)
Entity type:Individual
Prefix:DR
First Name:ASM
Middle Name:MUJIBUR
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:910 SW 1ST AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0904
Mailing Address - Country:US
Mailing Address - Phone:352-390-8999
Mailing Address - Fax:352-390-8999
Practice Address - Street 1:1431 SW 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-6500
Practice Address - Country:US
Practice Address - Phone:352-620-8012
Practice Address - Fax:352-304-5993
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2013-11-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME107517207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00972953OtherRAILROAD MEDICARE
FL14H7TOtherBCBS
FLFG397ZMedicare PIN